Organization Active NPI

A Step Above, LLC

  • Adult Day Care Clinic/Center
  • Antioch, CA
National Provider Identifier
1932733243
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
A STEP ABOVE, LLC
Practice address
3648 Delta Fair Blvd.
Antioch, CA 94509
Phone
(925) 481-2189
Fax
(925) 848-3614
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Patrick Henry Manzano, BS, MBA
Title
Executive Director
Phone
(408) 981-8713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

3648 Delta Fair Blvd.
Antioch, CA 94509

Mailing address

2111 Ocean Ave.
San Francisco, CA 94127
Phone (408) 981-8713

National Provider Directory

National Provider Directory

Locations

3648 Delta Fair Blvd
Antioch, CA 94509
Phone (925) 481-2189

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1932733243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 OCEAN AVE.",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94127",
            "telephone_number": "408-981-8713",
            "fax_number": "925-848-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 DELTA FAIR BLVD.",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94509",
            "telephone_number": "925-481-2189",
            "fax_number": "925-848-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A STEP ABOVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "MANZANO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-981-8713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, MBA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.